Topics
Reimbursement
More than half of rural hospitals could close under a public health option
Half of rural hospitals could close under public health option
Revenue Cycle Management
Healthcare revenue cycle management market projected to be worth $104 billion by 2025
Rev cycle market worth $104B by 2025
Strategic Planning
Healthcare cybersecurity market poised for growth over the coming years
Healthcare cybersecurity market poised for growth
Capital Finance
U.S. spends more on healthcare, but not on social services spending, study finds
Higher social spending linked to higher healthcare spending
Supply Chain
Optimizing the total performance of a healthcare supply chain means data and clinical integration
Optimizing the total performance of the supply chain
Accounting & Financial Management
Charity care spending among California hospitals is plunging
CA hospitals: Charity care plunging
Budgeting
Health systems allocate just 5-10% of total spending on primary care, despite benefits
Public and private payers underinvest in primary care
Quality and Safety
Medical devices pose cybersecurity and patient threat
Medical devices pose cybersecurity threat
Billing and Collections
Surprise medical bills in ER and inpatient settings are soaring, JAMA finds
Surprise medical bills are soaring
Claims Processing
BCBS Institute and Solera partner, pay SDoH organizations through outcomes-based medical claims
BCBS Institute, Solera, to pay organizations through outcomes-based claims
Workforce
Up to 14% of internal medical residents have been bullied during training, Johns Hopkins found
14% of internal medicine residents have been bullied
Operations
Insurers' collective premium rate increases are less than 1% for 2020 ACA plans
ACA insurers request rate hikes of less than 1%
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Wording in medical student evaluations differ by gender, minority status, revealing potential bias
Gender, minority bias revealed in med student evals
Construction & Facilities Management
Kaiser Permanente plunking down $900 million on new Oakland headquarters
Kaiser Permanente building $900M HQ in Oakland
Compliance & Legal
Majority of providers fall short of compliance with HIPAA access requirements
HIPAA access: Most providers fall short
Policy and Legislation
HHS and FDA propose plan for importation of prescription drugs from other countries
HHS releases plan for importation of drugs from other countries
Community Benefit
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Accountable Care
Rural hospitals not using bundled payment models, data shows
Rural hospitals not using bundled payment models
Acute Care
Diverting avoidable emergency department visits could save healthcare $32 billion annually
Diverting avoidable ED visits could save $32B
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Innovaccer research shows how AI could improve cost of care models
Innovaccer research shows how AI could improve cost of care models
Business Intelligence
While the price of healthcare is growing, utilization is dropping and price variations persist, report says
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
CMS to display the star ratings for Affordable Care Act exchange plans
CMS will display star ratings for ACA plans
Patient Engagement
CashMD launches price transparency tool
CashMD launches price transparency tool
Pharmacy
Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says
PBMs keep less than 1% of rebates for Part D drugs, GAO says
Population Health
IPA, insurer launch innovative new partnership to manage social determinants of health
IPA, insurer launch innovative new partnership to manage social determinants of health
Risk Management
Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows
JAMA: Hospital employees are clicking on phishing emails
Telehealth
Use of non-hospital-based provider-to-patient telehealth grew nearly 1,400%
Non-hospital-based telehealth grew 1,400%
Mergers & Acquisitions
Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer
Tufts and Harvard Pilgrim to merge
View more

ICD-10

In-depth

CMS proposes $887 million increase for skilled nursing facilities

CMS proposes $887 million increase for skilled nursing facilities

SNFs will be scored on a measure of potentially preventable hospital readmissions and on two…

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

The two organizations are working together to standardize how data is…

Whitepapers

Global Innovators

Global Innovators

Healthcare digitization is still often perceived as being an endeavor on the level of the individual healthcare system or nation state. While…

The Evolution of Utilization Review and Its Impact on Revenue Integrity

The Evolution of Utilization Review and Its Impact on Revenue Integrity

Existing utilization review (UR) paradigms are no longer suitable for addressing the…

Latest News

April 22, 2019 | Susan Morse

CMS proposes $887 million increase for skilled nursing facilities

April 2, 2019 | Jeff Lagasse

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

October 5, 2018 | Susan Morse

Hospitals and physician groups take on risk in BPCI Advanced model

August 1, 2018 | Beth Jones Sanborn

CMS finalizes 2019 payment rules for skilled nursing facilities, inpatient rehabilitation and psychiatric facilities

March 23, 2018 | Jeff Lagasse

Why it's time for hospitals to craft a policy for handling antibiotic-resistant infections

October 10, 2017 | Susan Morse

Anthem stops covering non-emergency medical conditions treated in the ER in three states

September 25, 2017 | Jeff Lagasse

Physician practices examine risk adjustment coding in wake of federal lawsuits

VIEW ALL NEWS

MostPopular

Anthem accelerates start for PBM IngenioRx

Anthem accelerates start for PBM IngenioRx

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

See the first star ratings for home health

See the first star ratings for home health

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

Telemedicine growing in popularity among physicians

Telemedicine growing in popularity among physicians

UnitedHealth to roll out interoperable personal health record

UnitedHealth to roll out interoperable personal health record

News

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data

Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list

While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. But with more patients weighing public hospital grades, experts, as well as a few…

Whitepapers

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.